A 54-year-old with suspected CAP is admitted. Procalcitonin is 0.05 ng/mL, viral PCR positive for influenza A. Per guideline, initial antibacterial th...

Question

A 54-year-old with suspected CAP is admitted. Procalcitonin is 0.05 ng/mL, viral PCR positive for influenza A. Per guideline, initial antibacterial therapy?

Accepted Answer

Start appropriate antibacterials if bacterial CAP suspected; use stewardship to de-escalate

Answer

Withhold antibiotics solely based on low procalcitonin

Answer

Start antivirals only; never give antibiotics with procalcitonin

Answer

Treat with azithromycin alone for 3 days

Answer

No therapy

us-abim MCQ (SBA): CAP Stewardship

A 54-year-old with suspected CAP is admitted. Procalcitonin is 0.05 ng/mL, viral PCR positive for influenza A. Per guideline, initial antibacterial therapy?